| NPI | 1215012463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK HERMSEN CEO 712-792-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: IA 140734) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |